Question 1

I'm really worried about my husband's blood pressure. He's been taking amlopidine 5mg, but his BP was still 149110. The doctor suggested adding telmac 40mg, and now his BP is around 12185 and 11775. He's not feeling well, though. I'm thinking maybe 40mg is too much for him. Could I try giving him half the dose of telmac instead?

Accepted Answer

It is not recommended to adjust the dosage of Telmisartan without consulting your doctor. Telmisartan 40mg is a standard starting dose for hypertension, and it is important to follow your doctor's instructions. If your husband is not feeling well, it is best to consult with your doctor for further evaluation and management.

Question 2

Hey there, so my wife had some trouble breathing last Sunday night. We managed to see a doctor by Tuesday, and after doing an ECG, we found out theres this change called ischemia. The doctor said it's not serious and not to worry, and we even did an echo which turned out normal. But they still prescribed ecosprin tabs, and now I'm a bit confused. Is this something I should be really worried about, or can I take it easy since the doc said it's normal? Could this become a serious issue down the line? Is it one of those things that just come and go, or might it stick around for life? She's only 35, and we have no family history of heart problems, so what's up with this? What should we do to make sure her heart stays healthy?

Accepted Answer

1. The doctor's assessment that the ischemia shown on the ECG is not serious and normal is reassuring. Ecosprin (Aspirin) is commonly prescribed to prevent blood clots and reduce the risk of heart attack and stroke. It is important to follow the doctor's advice and continue taking the medication as prescribed. 2. As per the current evaluation and prescription of ecosprin, the likelihood of serious issues later should be reduced. However, it is essential to follow up with regular check-ups and adhere to any further recommendations from the doctor. 3. Ischemia can be a temporary or chronic condition depending on the underlying cause. In this case, since the echo was normal and the doctor reassured that everything is okay, it may not necessarily be a lifetime disease. However, ongoing monitoring and lifestyle modifications may be necessary. 4. The presence of ischemia at the age of 35 without a family history of cardiac issues raises the importance of evaluating other risk factors such as smoking, high blood pressure, diabetes, high cholesterol, obesity, and physical inactivity. These factors can contribute to the development of heart conditions at a younger age. 5. Since there is no known cardiac history in the family, it is crucial to focus on lifestyle modifications such as maintaining a healthy diet, regular exercise, avoiding smoking, managing stress, and attending follow-up appointments with the doctor for monitoring. 6. Precautions that can be taken include following a heart-healthy diet low in saturated fats and cholesterol, engaging in regular physical activity, maintaining a healthy weight, managing stress levels, avoiding smoking and excessive alcohol consumption,

Question 3

I've been taking a combo of moduretic and lisinopril for a few years now, with 20mg of lisinopril and 5mg of moduretic. I'm 40 years old, weigh 120kg, and I'm 6ft tall. I try to stay active by working out three times a week. But anytime I push myself a bit, like getting to sleep late, having a few extra drinks, or dealing with stress, my blood pressure seems to get really resistant for days. Is there something I'm missing or should be doing differently?

Accepted Answer

continue same treatment , salt restricted diet ,, DASH diet with fruits,legumes and green leafy vegetables are advised ..Also aerobic exercises daily advised to the patient..

Orthopedic opinion is advised to the patient.

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